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CommonSpirit Health™ is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

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****Sign-on Bonus and Education Assistance Available!****   New Grads and Experienced RNs are encouraged to apply!   Imagine your career in Inpatient Rehab helping ensure that our patients have the best care for recovery.   For more information on CHI Health Immanuel Inpatient Rehab Center click here - https://www.chihealth.com/en/services/rehabilitation-care/inpatient-rehabilitation.html   Job Responsibilities As a Inpatient Rehab Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians, nurses and therapists to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Patient education and facilitate repetitions of skills learned in therapies at the bedside - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-112452
Department
Physical Rehabilitation Care
Facility
CHI Health Immanuel
Shift
Night
Employment Type
Part Time
Location
NE-OMAHA
****Sign-on Bonus and Education Assistance Available!****   New Grads and Experienced RNs are encouraged to apply!   Imagine your career in Inpatient Rehab helping ensure that our patients have the best care for recovery.   For more information on CHI Health Immanuel Inpatient Rehab Center click here - https://www.chihealth.com/en/services/rehabilitation-care/inpatient-rehabilitation.html   Job Responsibilities As a Inpatient Rehab Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians, nurses and therapists to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Patient education and facilitate repetitions of skills learned in therapies at the bedside - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-112451
Department
Physical Rehabilitation Care
Facility
CHI Health Immanuel
Shift
Night
Employment Type
Part Time
Location
NE-OMAHA
$15,000 RN Sign-on Bonus Up to $10,000 Education Assistance Available   Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!   Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-130035
Department
Physical Rehabilitation Care
Facility
CHI Health Good Samaritan
Shift
Night
Employment Type
Part Time
Location
NE-KEARNEY
$15,000 Sign-on Bonus Up to $10,000 Education Assistance Available   Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!   Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-129830
Department
Physical Rehabilitation Care
Facility
CHI Health Good Samaritan
Shift
12 Hour Day
Employment Type
Full Time
Location
NE-KEARNEY
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!   Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-129683
Department
Physical Rehabilitation Care
Facility
CHI Health Good Samaritan
Shift
Night
Employment Type
Part Time
Location
NE-KEARNEY
  $15,000 Sign on Bonus Up to $10,000 Education Assistance Available   Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!   Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-124987
Department
Physical Rehabilitation Care
Facility
CHI Health Good Samaritan
Shift
Night
Employment Type
Full Time
Location
NE-KEARNEY
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!   Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-117899
Department
Physical Rehabilitation Care
Facility
CHI Health St. Francis
Shift
Night
Employment Type
Full Time
Location
NE-GRAND ISLAND
$15,000 Sign-on BonusUp to $10,000 Education Assistance Available  Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!  Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-111717
Department
Physical Rehabilitation Care
Facility
CHI Health Good Samaritan
Shift
Night
Employment Type
Full Time
Location
NE-KEARNEY
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!  Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-111632
Department
Physical Rehabilitation Care
Facility
CHI Health St. Francis
Shift
Night
Employment Type
Part Time
Location
NE-GRAND ISLAND
You’d look great in purple! Join our team in Des Moines where we help build future healthcare professionals. We not only offer students an exceptional education, but we also offer employees a challenging and rewarding work environment. Our core values of knowledge, reverence, integrity, compassion and excellence are at the foundation of how we work and what we do. We are committed to providing the best environment for students to learn and employees to work.   - Teaches and supervises students learning advanced life and pediatric life support skills. - Evaluates student's skills learned. - Ensures classroom is equipped with appropriate supplies and teaching tools.  
Job ID
2020-120989
Department
Mercy College
Facility
Mercy College
Shift
Varied
Employment Type
Part Time
Location
IA-DES MOINES
CHI Memorial Mountain Management Service CBO Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals.Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                         Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-110521
Department
Clinic Billing
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
CHI Memorial Mountain Management CBO Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals.Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues.  In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.    Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.  - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,  compliance program, HIPAA, etc.      
Job ID
2020-110519
Department
Clinic Billing
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
CHI Memorial Mountain Management CBO     Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals.Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.        Job Responsibilities:       Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.       - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. -  Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system.   Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.      - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials.   Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.     - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures.   Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.     - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,  compliance program, HIPAA, etc.   Establishes and maintains professional and effective relationships with peers and other stakeholders.     - Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. - Establishes and maintains a professional relationship with clinics and FMG staff in order to resolve issues. - Promotes an atmosphere of collaboration so peers feel comfortable approaching with issues and challenges specific to their payer or specialty. - Depending on role and Epic training, may be called upon to support other areas in the Revenue Cycle. - Performs related duties as required.        
Job ID
2020-110478
Department
Clinic Billing
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Mountain Management   Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                       Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-132032
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                         Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-131266
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                         Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-131265
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                       Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-131264
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Mountain Management   Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                       Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-129840
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Mountain Management Under general supervision, the Insurance Follow-up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and denials for the Memorial Health Partners Foundation (MHPF) in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able to communicate effectively with payer representatives and maintain professional communication with team members in order to support denials resolution.                                                         Essential Key Job Responsibilities Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmits claims with necessary information when requested through paper or electronic methods.   - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. - Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. - Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. - Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. - Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. - Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. - Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. - Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. - Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. - Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc.
Job ID
2020-122994
Department
Insurance Services
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
JOB SUMMARY / PURPOSE This job is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and non-coding denials in accordance with established standards, guidelines and requirements. An incumbent conducts follow-up process activities through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. ESSENTIAL KEY JOB RESPONSIBILITIES Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is receive. Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Resubmits claims with necessary information when requested through paper or electronic methods. Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Accurately documents patient accounts of all actions taken in billing system. Other duties as assigned by leader and organization.  
Job ID
2020-111892
Department
Physicians Billing System
Facility
CHI Health
Shift
Day
Employment Type
Full Time
Location
NE-OMAHA
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